Organization
CENTRAL TEXAS FOOT SPECIALIST PA
Active
Parent organization
CENTRAL TEXAS FOOT SPECIALIST, P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL TEXAS FOOT SPECIALIST, P.A.
Authorized official
DR. RENEE KUKLA PIETZSCH DPM (OWNER/CEO)
(512) 819-4555
Entity
Organization
Contact information
Practice address
301 DENALI PASS STE 1, CEDAR PARK, TX 78613-2079
(512) 819-4555
Mailing address
3316 WILLIAMS DR STE 120, GEORGETOWN, TX 78628-2891
(512) 819-4555
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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